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Individual

MR. KIRK EDWIN KELLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OWNER

Contact information

Practice address
1150 INDUSTRIAL PARK RD, WAPELLO, IA 52653-1056
(319) 523-6006
(319) 523-2188
Mailing address
10836 120TH ST, WAPELLO, IA 52653-9472
(319) 523-6006
(319) 523-2188

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
06/23/2017
Last updated
06/30/2023
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